DR. YON I SAMANTHA LEE D.D.S.
NPI 1851415202
Dentist - General Practice in Sacramento, CA

Active since March 19, 2007Opted out of Medicare · through May 18, 2028
1822 PROFESSIONAL DR, SACRAMENTO, CA 95825(916) 483-5100(916) 483-5620 Get Directions Write a Review

NPPES record last updated: May 23, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Yon I Samantha Lee D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. YON I SAMANTHA LEE D.D.S. (NPI 1851415202) is an individual general practice provider in Sacramento, California, licensed in California (52884) and active in the NPI registry since March 2007. She has opted out of Medicare through May 18, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1851415202
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. YON I SAMANTHA LEECredential: D.D.S.
Location Address1822 PROFESSIONAL DRSacramento, CA 95825-2107
Mailing Address1822 Professional DrSacramento, CA 95825-2107 · (916) 483-5100 · Fax (916) 483-5620
Fax(916) 483-5620
Sole ProprietorNo
Enumeration DateMarch 19, 2007
Last NPPES UpdateMay 23, 2014
NPI 1851415202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 52884
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1822 PROFESSIONAL DR, Sacramento, CA 95825

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Yon I Samantha Lee D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 18, 2016 through May 18, 2028.

Opt-Out Effective DateMay 18, 2016
Opt-Out In Effect ThroughMay 18, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95825 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1822 PROFESSIONAL DR
SACRAMENTO, CA 95825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yon I Lee's NPI number?

The NPI number for Yon I Lee is 1851415202. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Yon I Lee located?

Yon I Lee practices at 1822 Professional Dr, Sacramento, CA 95825. The listed phone number is (916) 483-5100.

What is Yon I Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Yon I Lee enrolled in Medicare?

No. Yon I Lee has opted out of Medicare through May 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Yon I Lee accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 2 other insurers list Yon I Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Yon I Lee was last updated on May 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.